Presbyterian Healthcare Services

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VP-QUALITY & MEMBER EXPERIENCE-PRESBYTERIAN HEALTH PLAN

at Presbyterian Healthcare Services

Posted: 5/7/2019
Job Status: Full Time
Job Reference #: 19942
Keywords:

Job Description

About Us

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.

 

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

 

We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

 

Job Description 

Education:
Essential:
* Bachelor Degree

 

 

Other information:
Bachelors Degree required, Masters preferred. 5 years of Quality leadership experience preferably within a health plan environment

  

Summary:
This position will report to the President of Presbyterian Health Plan. She/he will provide primary leadership over PHP¿s Quality and Member Experience programs, and be expected to partner directly with PHP Chief Medical Officer to achieve PHP quality aims. This position will also coordinate their work with PHS quality programs and leadership. She/he will be a key member of PHP leadership team which is inclusive of other Vice Presidents across PHP. It is also critical that this position work closely with the Chief Medical Officer, in a dyad type relationship where together, there is coordination of our quality, clinical, and health management programs across PHP

 

Responsibilities:
KEY RELATIONSHIPS:
*Reports to: President, Presbyterian Health Plan
*Direct reports: Director of Member Experience, Director of Population Health, Administrative Assistant
*Other key Relationships: PHP Chief Medical Officer, PHP Leadership Team (Vice President level leadership team), PHS Chief Medical and Clinical Transformation Officer, Fluent Leadership, Data and Analytics Leaderships, PHS Population Health Leadership, PHS Quality Leadership, PHS Chief Digital Officer, PHS Senior Vice President and Chief Information Officer, PHS Senior Vice President and Chief Innovation Officer

RESPONSIBILITIES:
*Direct and administer two divisions of PHP: Member Experience and Quality.
*Oversight of Member Experience requiring development and deployment of strong analysis and insights into the experiences of our members, accountability for member surveys, obtaining deep insights from our members through member forums, formation of member research and insight tools, and formation of strategic initiatives.
*Oversight of Quality programs includes the functions of NCQA Accreditaton, Quality of Clinical Care, Critical Incident Management, Community Health, and Wellness and Health Education. A key focus area will be the development of our annual and long-range Quality plans, and directly coordinating and collaborating with PHS Quality teams leadership on all quality aspects, including such initiatives as patient and member safety.
*Leading the selection of PHPs quality measurement system, including selection of measures, benchmarking, and target setting.
*Leading the identification of opportunities for improvement and the development of high reliability processes that produce sustainable results.
*Key participant and driver in variety of external and internal audit and compliance reviews, including for example Medicare program audits.
*Collaboration across many departments and with many key leaders across PHP and PHS, including PHPs Chief Medical Officer and PHSs Vice President of Quality.
*Work closely with clinical and system leadership to implement new programs, technologies and strategies that improve health plan operations and care delivery across the entire care continuum.
*Developing analytics to measure and improve on key member experience and quality initiatives, to reinforce a discpline around gathering facts and data to achieve PHPs quality and experience initiatives and targets.
*Providing advice, direction and counseling to the President of PHP.
*Preparing and leading strong, insightful, and strategic level presentations and summaries for a variety of Boards and Committees.
*Representing the best interests and brand of Presbyterian in the community and with key stakeholders, including for example, employer purchasers, New Mexico Coalition for Healthcare Value, State of New Mexico Human Services Department, among many others.

 

Benefits

Benefits are effective day-one and include:

  • Competitive salaries<\>

  • Full medical, dental and vision insurance<\>

  • Flexible spending accounts (FSAs)<\>

  • Free wellness programs<\>

  • Paid time off (PTO)<\>

  • Retirement plans, including matching employer contributions<\>

  • Continuing education and career development opportunities<\>

  • Life insurance and short/long term disability programs<\><\>

     

    About New Mexico

    New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich life>Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.

     

    Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

     

    New Mexico offers endless recreational opportunities to explore, and enjoy an active life>

     

    AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.


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Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!